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06-2104 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002104 Property Address: 54055 AVENIDA RUBIO APN: 774-201-015-3 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 1800 Tjht .4 4 Q" Applicant: Architect or Engineer: C.Ar BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. LicenseClass: C20 -C36 LicenseNo.: 818759 vete: S C actor. • OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 70001 of Divisidn 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not. more than five hundred dollars 1$500).: ( 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. . 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT Owner: PIPPIN 54055 AVENIDA RUBIO LA QUINTA, CA 92253 Contractor: PREC H & A INC P.O. BOX 10990 PALM DESERT, CA 92255 (760)776-1550 Lic. No.: 818759 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/22/06 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 1750773 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, - and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state la relating to building construction, and hereby authorize representatives of this co y toama, upon the a e- mentioned property f�orrt inspection purposes. e: v Sig re (Applicant or Agent): Application Number . . . . . 06-00002104 Permit . . . MECHANICAL _ Additional desc . Permit Fee . . . . 24.00 Plan Check -Fee 6.00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH ---------------------------------------------------------------------------- B/C <=3HP/100K BTU 9.00 Special Notes and Comments 13 SEER CONDENSING UNIT CHANGE -OUT Fee summary Charged - =----------------------------------- IPaid Credited -------------------- Due Permit Fc--. Total 24.00 .00 .00 -- 24.00 Plan Check Total 6.00 .00 .00 6.00 Grand Total 30.00. _ .00 .00 30.00 LQPERMIT Bin # City of. La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: ��� Owner's Name: p A. P. Number: Address: -F V Legal Description: Contractor: PLCC ' City, ST, Zip: L, Telephone:. Address: pO _ �11220 Project Description: City, ST, Zip: / ,nnfC►I Cef. 2 Telephone: '7 7 b' 1VV State Lic. # 7.57 City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: . j� ' Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: %` s(� . ll Estimated Value of Project: 7J U APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading.plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 5) CF -IR Project Title Date e 7 Building Permit Project Ad ress S y _ d SS e� 1'►, d � � Plan Check / Date Documentation Author /'� jTelepoiho�nep� ✓0 �il �% a �4Field Checl: /Date Compliance Meth (prescriptive) Climatene „f". ement Aeencv Use O Alternative Component Package Method: (check one) C D D (Alternative) Package c and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -1 R page 3) For Package DAhernative see Appendix B Table 151-0 Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) f Average Ceiling Height: 8 Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-0 — (5%X CFA) Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C --{28%X CFA) ft- � D Building Type: (check one or more) Single Family Multifamily Addition _L tazlion (If adding fenestration fill out WS -4R, Fenestration Maximum Allowed Area Worksheet and see Section 832 for Additions and 833 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Front Orierrtation North / South / East / West / All Orientations (input front orientation in degrees from True North. and circle one). ,/ ❑ jZAjDjANT BARRIER (required in climate zones 2A. OPAQUE SIWACES INCLUDING OPAQUE I9000RS t:omponertt Assembly U - factor (for wend, Joint Roof Radiant Location Type (Wall, Ftame Roof, Floor, Type Carty Continuous metal name and Appendix Barrier Comments Installed (attic, garage, Slab.Edge, (Wood or insulation Insulation rel MetaD R -Value R -Value mass assemblies)' iV Reference Yes or No*.—;—Ictu ) 1) See Joint Appendix IV in Section IV2, IV3 and IVA, which is the basis for the U -factor criterion. U factors can not exceed prescriptive value to show equivalence to R -values. April 2005 Residential Compliance Forms CERTIFICATE OF COWLIANCE: RESIDENTIAL (Page 2 of 5) CF -IR Project Title Date 5- 2 L• FETATION PRODUM — U -FACTOR AND SHGC ✓ ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET W & 4R --must be included for New Construction, Additions and Alterations. Fenestration ##/Typelpos. (Tront, Lek Rear, Right, S G t) Orien- tation, N, S, E, W' Exterior Shading/Overhane 7 Area U -factor SHGC ✓ box if WS -3R is f U-factor2 Source' SHGC' Sources included ❑ ❑ 13 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or tilted in any direction when the pitch is less than 1:12. See § 151(f)3C and in Section 323 of the Residential Manual 2) Enter values in this column are either NFRC Rated value or from Standards default Table 116A. 3) Indicate source either from NFRC or Table 116A, 4) Enter values in this column from NFRC or from Standards Default Table 116B or adjusted SHGC from WS -3R. 5) Indicate source either from NFRC or Table I I6B. 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 32.4 in the Residential Manual. HVAC SYSTEMS Heating Equipment Type and Capacity (fiur . beat WV, twiter, etc) Minimum Efficiency (AFUE or HSPF Distribution Type and Location Duct or Piping Thermostat Configuration: duets, attic, etc. R -Value T itor Cooling Equipment Type and Capacky (A/C, heat pump, evap. cooling) Minimum Efficiency Duct Location Duct Thermostat Configuration SEER or EER attic, etc.)LT lit orpackage) 41 C - Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF -IR Project Title Date SEALED DUCTS and TXVs (or Alternative Measures) A signed CF -4R Form must be provided to the building deparhnent for each home for which the following. are Jct" J Sealed Ducts all climate zones)(Installer testing and certification and HERS rater field verificationrequired.) TXVs, readily accessible (climate zones 2 and 8-15 only) (installer testing, and certification and HERS Rater field verificationrequired.) ❑ Refrigerant (urge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field verificationrequired.) OR ❑ , Alternative to Sealed Ducts and Refrigerant Charge n XVs (See Package D Alternative PaduV Features for Project Climate Zone in the RM Appendix B Table 151-C, Footnotes 7-14. OR For additions and alterations, duct systems dud are not documented to have been previously ❑ sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in unconditioned srmces shall meet the rea uirements of Section 150(m) and duct insulation renuirements of Pada= D. F7 Systems serAw sinale dwelling units Water Heater Distribution T uel Type Type Check box if system meets criteria of a "Standard" system. Standard system is one gas-fired water heater per ❑ dwelling unit If the water heater is a storage type, 50 gallons is the maximum qty and recirculation system is not allowed ❑ Check box when using Preapproved Alternative Water Heating table, Table 5-4 in Chapter 5 in the Residential Manual. No water heating calculations are and the system complies automatically. Check box if system does not meet criteria of "Standard" system, and does not comply with the Preapproved ❑ Alternative Water Heating table. In this case, the Performance Method must be used and must be included in the submittal. ❑ Check box to verify that a time control is required for a recirculating system pump for a system serving multiple units Systems serAw sinale dwelling units Water Heater Distribution T uel Type Type Energy Tank �t Tank Factor or External Number (kW or CVacrty Thermal Standby insulation in System pw& bas Efficienc Loss % R -Value System service multiple dwelling- units Water Heater Distribution Type Type Energy Tank Rated Tank Factor' or External Number (Mo Capacity Thermal Standby' insulation in System Badhr) ( km) ) Efficiency Loss % R -Value 1) For small gas storage water heaters (rated inputs of less than-or.cqual to 75,000 Budbr); electric resistance, and heat pump water heaters, list Energy Factor. For hap gas storage water heaters (rated input of greater thio 75,000 Btu/hr), list Raced Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas urates heaters, list Raced input and Thermal Efficiencies. Pipe Insulation (kitchen lines> 314 inches) All hot wafer pipes from the heating source to the kitchen fixtures that are % inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 A or 150 0) 2 B. Residential Compliance Forms April 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 5) CF -1R Project Tide jute SPECIAL FEA'T'URES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project The list below represents special features relevant to the Prescriptive and Performance Method. Ve Feature Required Forms. if applicable) Descrkrtion ❑ Metal Framed Walls CF -1R 6 of 12 ❑ Radiant Barriers CF -1R ❑ Exterior Shades WS -4R N/A; Performance Calculation ❑ Cool Roof Required. Attach CRRC Label to Forms. 0 Dedicated Hydronic Heating Performance Calculation Sy stem R aired; Attach Run to Forms. ❑ Combined Hydronic System Performance Calculation Required, Attach Run to Forms. ❑ Gas Cooling N/A; Performance Calculation Required. ❑ Buried Duds N/A; Indicate on building plans. ❑ I Kitchen Pipe Insulation See Section 5.62 Distribution Systems in Residential Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and attach Run to Fors. ❑ Central Water Heating System Performance Calculation and Serving Muni le Dwe ' attach Run to Fors. ❑ Non-NAECA Large Water CF -IR Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Header Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms ❑ Wood Stove Boiler Performance Calculation and attach Run to Forms SPECIAL FEATURES REOUIIUNG HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are hart of this nioiect and need verification. Feature Required Forms if applicable) Description Duct Sealing CF -6R part 4 of 12 ❑ Refii erantCharge CF -6R part 5 of 12 Thermostatic Expansion Valve CF -6R part 6 of 12 Residential Compliahce Forms , September 2005 3 CERTIFICATE OF CONIPLUNCE: RESIDENTIAL, (Page s of 5) CF -IR Project Tide / Date COWLIANCE STATEhIEiVT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Pads 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. Ibis certificate has been signed by the individual with overall design responsibility. The undersigned recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Desiener or Owner (Der Business and Professions Cade) Documentation Author Name: /(%J J(� Name: TitkFinm:r�C�(r7 ! V pC(`� c}.- ✓Q ►,1� r��ro: �C � � Y �-� � Address: Address: Telephone: J s l� Telephone License #: S � � •.r /G' --�� (dale) (S ) A (dte) Enforcement Agency Name: . Tide Agency: Telephone: (signature / ) Comments: Residential Complid we Forms April 2005